Doctor Name: | MS. MARY R. NELSON |
NPI Number: | 1285846220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 449374 |
Business Practice Address: | 117 Pirie Rd Suite D Ojai, CA - 930233166 |
Business Phone Number: | 8056467246 |
Business Fax Number: | |
Mailing Address: | 98 Wormwood St, OJAI |
State: | CA |
Postal Code: | 930234031 |
Phone Number: | 8056495774 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 449374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |